TAYLOR CLARK (DPT) – Physical Therapist, NPI 1265047351

TAYLOR CLARK (DPT) is a healthcare provider. based in Norfolk, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for TAYLOR CLARK (DPT) is 1265047351

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR CLARK (DPT)
NPI
1265047351
Phone
(757) 544-8312
Address
3536 GAMAGE DR
Enumeration Date
15 September 2020
Last Update Date
15 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7576837041
Graduation Year
2020 (6 years ago)
PAC ID
5496165581
Group Practice PAC ID
3476770520
Professional Enrollment ID
I20201030001120
Address ID
VA235290047NO1019XWXXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

3,079 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for TAYLOR CLARK (DPT)

  • 3536 GAMAGE DR

    NORFOLK, VA 235185751

    Phone: (757) 544-8312

    Type: Mailing

  • 1015 W 47TH STREET

    NORFOLK, VA 23508

    Phone: (757) 683-7041

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201030001120IPhysical Therapist In Private PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes76054$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21539$0
97140Therapy procedure using manual technique, each 15 minutes19133$0
97016Application of blood vessel compression device5012$0
97116Therapy procedure for walking training, each 15 minutes3516$0
View full utilization report →

Insurance plans in this area (ZIP 23518)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476770520View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
-MD
Occupational Therapist In Private PracticeMD
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA
-VA
-VA
Qualified Speech Language PathologistVA
-VA

Reviews

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Frequently asked questions

What unique ID ties claims to TAYLOR CLARK (DPT)?
NPI 1265047351 is assigned to TAYLOR CLARK (DPT) under the national enumeration system.
Is TAYLOR CLARK (DPT) currently active in the NPI registry?
CMS-published data lists TAYLOR CLARK (DPT) as an active registrant.
Can you summarize TAYLOR CLARK (DPT)'s specialty in plain language?
Clinically, the directory lists TAYLOR CLARK (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for TAYLOR CLARK (DPT)?
The page summarizes Norfolk, Virginia for TAYLOR CLARK (DPT); expand the address list for detail.
Is TAYLOR CLARK (DPT) a real provider?
This page reflects official NPPES data for NPI 1265047351. Always confirm identity and privileges with the practice and licensing boards.

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